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Solutions for Health Insurance Companies

Health Insurance Claims Processing Software

ClaimScape offers Health Insurance Companies a medical claims management system unlike any on the market today. ClaimScapes’ benefit administration and claim processing software provides the necessary options to keep pace with the many changes in the market today.

ClaimScape offers both a claims paying system together with an automated benefits administration system. With a wide array of reports summarizing and identifying who is incurring the claims, what services are being used and comparing provider costs, hundreds of man hours will be saved. A sophisticated software system that incorporates claims adjudication, billing and web based capabilities, as well as unlimited report capabilities make ClaimScape the ideal choice for Health Insurance Companies. Fee for service as well as capitation capabilities are included in the system.

ClaimScape system includes the following features and capabilities:

  • Claim processing
  • Commission processing and payment
  • Case Management
  • Capitation processing
  • Customer Service Modul
  • Premium Tracking
  • Quoting Capabilities
  • ASO/TPA Services
  • Enrollment and ID Card Capabilities
  • Premium Billing
  • Health Care EDI
  • Long Term Care Software
  • Medical Benefits Administration

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